Suprapubic Cystostomy

WHAT YOU SHOULD KNOW:

Suprapubic cystostomy is surgery to create a stoma (opening) through your abdomen into your bladder. This opening is where a catheter is inserted to drain urine. You may need a cystostomy if your urine flow is blocked.

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

You may bleed more than expected or get an infection. Your organs or blood vessels may be damaged during surgery. Your bladder may become irritated. Long-term use of a catheter can lead to kidney stones, blood in your urine, or bladder inflammation.

WHILE YOU ARE HERE:

Before your surgery:

Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

An IV is a small tube placed in your vein that is used to give you medicine or liquids.

Anesthesia is medicine to make you comfortable during the surgery. Healthcare providers will work with you to decide which anesthesia is best for you.

General anesthesia will keep you asleep and free from pain during surgery. Anesthesia may be given through your IV. You may instead breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.

Spinal or epidural anesthesia numbs the area and dulls the pain. You may still feel pressure or pushing during surgery.

During your surgery:

Your surgeon will make a small incision in your abdomen below your belly button. Another small incision will be made in your bladder. The catheter will be inserted into your abdomen and bladder. Once the catheter is in place, the balloon on the end of the catheter will be filled with sterile water. This balloon keeps the catheter in place inside the bladder. The other end of the catheter will be connected to a clean drainage bag or closed with a valve. The catheter may be secured in the stoma with stitches or surgical tape.

After your surgery:

You will be taken to a room to rest until you are fully awake. You will be monitored closely for any problems. Do not get out of bed until your healthcare provider says it is okay. You will then be able to go home or be taken to your hospital room.

A catheter is a tube put into your bladder to drain urine into a bag. Keep the bag below your waist. This will prevent urine from flowing back into your bladder and causing an infection or other problems. Also, keep the tube free of kinks so the urine will drain properly. Do not pull on the catheter. This can cause pain and bleeding and may cause the catheter to come out. Caregivers will remove the catheter as soon as possible to help prevent infection.

You will be able to eat and drink gradually after surgery. You will begin with ice chips or clear liquids such as water, broth, juice, and clear soft drinks. If your stomach does not become upset, you may then eat soft foods, such as ice cream and applesauce. Once you can eat soft foods easily, you may slowly begin to eat solid foods.

Medicines:

Pain medicine may be given. Do not wait until the pain is severe before you ask for more medicine.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.